摘要
目的探讨畅气通络手法护理对非特异性下腰痛的应用效果。方法回顾性选择2019年1月~2022年1月内蒙古自治区包头市第四医院收治的非特异性下腰痛患者126例作为研究对象,根据护理方法分为畅气通络手法组与传统组,各63例。传统组给予常规功能锻炼护理,畅气通络手法组在传统组的基础上给予畅气通络手法护理,两组均护理观察2个月。观察两组的总体疗效、护理前后肌筋膜激痛点总体疼痛情况、腰部关节活动情况、表面肌电值变化情况。结果护理前,两组患者的肌筋膜激痛点疼痛视觉模拟评分(Visual analogue scale,VAS)、腰部关节活动Oswestry功能障碍指数(Oswestry disability index,ODI)评分、屈曲状态与背伸状态的表面肌电信号(Surface Electromyography,sEMG)对比,差异无统计学意义(P>0.05);护理后,两组患者的肌筋膜激痛点VAS评分、ODI评分、屈曲状态sEMG值均显著低于护理前,且畅气通络手法组评分均显著低于传统组,差异有统计学意义(P<0.05)。护理后,畅气通络手法组的总有效率显著高于传统组,差异有统计学意义(P<0.05)。结论对非特异性下腰痛患者应用畅气通络手法,能缓解其肌筋膜激痛点的疼痛,改善腰部功能与表面肌电水平,提高总体疗效。
Objective Study on the application effect of qi and collaterals manipulative nursing on non-specific low back pain.Methods A total of 126 patients with non-specific low back pain who were diagnosed and treated in the Department of Traditional Chinese Medicine Rehabilitation of the Fourth Hospital of Baotou City,Inner Mongolia from January 2019 to January 2022 were retrospectively selected as the research subjects.According to the nursing methods,they were divided into a Qi and collateral manipulative group and a traditional group with 63 cases each.The traditional group were given routine functionalexercise nursing,and the Qi and collateral manipulative group were given the Qi and collateral manipulative nursing on the basis of the treatment of the traditional group.Both groups were given nursing observation for 2 months.The overall curative effect of the two groups was observed,and the overall pain of myofascial trigger points,the activity of the waist joints,and the surface electromyography were evaluated before and after nursing.Results Before nursing,the visual analogue scale(VAS)of myofascial trigger point pain,the oswestry disability index(ODI)score of lumbar joint activity,the surface electromyography(sEMG)of flexion and dorsi-extension states,the diff erence was not statistically significant(P>0.05).After nursing,the VAS of myofascial trigger points,lumbar joint activity ODI scores and flexion state sEMG value of the two groups of patients were significantly lower than those before nursing,and the Qi and collaterals manipulation group was also significantly lower than the traditional group,the diff erence was statistically significant(P<0.05).The total effective rate of the Qi and collateral manipulative group after nursing which were significantly higher than the traditional group,the diff erence was statistically significant(P<0.05).Conclusion The application of Qi and collateral manipulative nursing in non-specific low back pain can relieve the pain of myofascial trigger points,improve lumbar function and surface EMG level,thereby improving the overall curative effects.
作者
范超
杨强
FAN Chao;YANG Qiang(Department of Traditional Chinese Medicine,Rehabilitation of the Fourth Hospital of Baotou City,Baotou Neimenggu,014030,China;Department of Anesthesiology,Maternal and Child Health Hospital of Inner Mongolia Autonomous Region,Huhehaote Neimenggu,010017,China)
出处
《中华养生保健》
2022年第21期82-85,共4页
CHINESE HEALTH CARE
基金
内蒙古自治区卫生健康委项目(项目编号:000014348/2021-70367)。
关键词
肌筋膜激痛点
非特异性下腰痛
畅气通络手法
表面肌电
腰部功能
myofascial trigger points
non-specific low back pain
qi and collateral manipulation
surface electromyography
lumbar function
